Dr. Pulikal started off as a certified welder and automotive body specialist. After graduating from a combined medical school and law school program at the University of Iowa, with a MD and JD, Dr. Pulikal went on to get trained as a surgical intern at SUNY Upstate. After this, he was trained in Psychiatry for four years at the university of Miami and had a fellowship in interventional pain management through the department of anesthesia at the University of Miami. Currently, he is double board-certified in pain management and psychiatry, licensed both as a physician and an attorney but insists that he is more the mechanic/physician type than a psychiatrist/lawyer type of guy

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